An unannounced monitoring inspection was conducted on 11/26/19 from 11:00am until 12:55pm. At the time of entrance, there were 47 children in care with 9 staff present. A sample of 5 children's records and 6 staff records were reviewed. Children were observed eating lunch, playing on the playground and resting quietly during nap time. Restroom and hand washing procedures were also observed. Medication, transportation, first aid and emergency supplies, documentation of emergency practice drills, children's injury reports and center postings were reviewed. Nine violations in the areas of administration, physical plant, special care provisions and emergencies and background checks are identified on the violation notice and were discussed with the center director during the exit interview.

Based on record review and interview, the center did not ensure that if a child has had a physical examination prior to attendance, it shall be within 12 months prior to attendance for children two years of age through five years of age.

Evidence:1. The record for child 1 (date of enrollment: 8/12/19) contains documentation of a physical examination dated 1/10/18, which is more than 12 months prior to attendance.2. The center director confirmed that the physical examination for child 1 was conducted more than 12 months prior to attendance at the center.

Plan of Correction:

The center responded with the following: The Center Director and Assistant Director will ensure that all children enrolled in the center has an up to date physical within 30 days of enrollment at the center. The Center Director along with the Curriculum and Program Director will perform an audit on children's files who currently attend the center to ensure that all children have a current physical.

Standard #:

22VAC40-185-60-A

Description:

Based on record review and interview, the center did not ensure that children's records contain all the required information.

Evidence:1. The record for child 1 contains only one name, address, and phone number of a designated person to call in an emergency if a parent cannot be reached, where two are required.2. The center director confirmed that the record for child 1 contains only one emergency contact person.

Plan of Correction:

The center responded with the following: The Center Director will review all children's information prior to their first day in the program and ensure that all the required information is present. The Curriculum and Program Director (or designee of her choice) will perform an audit on all children's files to ensure that all children currently attending the center have all the required information.

Standard #:

22VAC40-185-70-A

Description:

Based on record review and interview, the center did not ensure that staff records contain all the required information.

Evidence:1. The records for staff 1 (date of hire: 7/31/19), staff 2 (date of hire: 7/26/19), staff 3 (date of hire: 8/21/19) and staff 4 (date of hire: 10/8/19) do not contain written information to demonstrate that the individual possesses the orientation training required by the job description.2. The center director confirmed that the records for staff 1, staff 2, staff 3 and staff 4 are lacking documentation of orientation training.

Plan of Correction:

The center responded with the following: The Center Director will ensure that the Orientation Checklist completed during New Hire Orientation is received from Human Resources and placed in the employee file on or before the employee's first day of work. Within 5 working days the Center Director will audit the employee file to ensure that all required training and documentation is present in the file. The Curriculum and Program Director will audit employee files to ensure that all files are in compliance with state licensing standards and Children's Harbor requirements.

Standard #:

22VAC40-185-280-B

Description:

Based on observation and interview, the center did not ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method to prevent access by children.

Evidence:1. There were 2 spray bottles of bleach water sitting on the counter by the sink and changing station in the infant room.2. There was a spray bottle of bleach water, a can of disinfectant and a can of room deodorant in an unlocked cabinet above the sink in the preschool classroom. 3. Staff confirmed that the cleaning materials were not kept in a locked area of the classroom.

Plan of Correction:

The center responded with the following: The Center Director will review with the teachers the requirement/standard about keeping hazardous materials in a locked cabinet. The Center Director and Assistant Director will perform periodic spot checks in the classrooms to make sure that cleaning materials are kept locked up. Employees who fail to keep hazardous materials locked in a cabinet will receive a discipline notice up to or including termination.

Standard #:

22VAC40-185-330-B

Description:

Based on playground observation, the center did not ensure that when playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

Evidence:The resilient surfacing (poured-in-place) on the two's playground has multiple tears and holes within the fall zones of the play structure; therefore, the proper depth is not being maintained.

Plan of Correction:

The center responded with the following: A request to have the Poured-In-Place repaired has been placed on the center's maintenance log. If the Poured-In-Place cannot be replaced in 30 days, a new surface will be put down.

Standard #:

22VAC40-185-510-C

Description:

Based on a review of medication at the center, the center did not ensure that medication authorizations are current.

Evidence:1. Child 2 is prescribed an emergency medication that is kept at the center. The medication authorization form for child 2 expired on 10/25/19.2. Child 3 is prescribed an emergency medication that is kept at the center. The medication authorization form for child 3 expired on 7/4/19.3. Child 4 is prescribed an emergency medication that is kept at the center. The medication authorization form for child 4 expired on 9/1/19.4. The center director confirmed that updated medication authorization forms have not been obtained for child 2, child 3 or child 4.

Plan of Correction:

The center responded with the following: The Center Director will go through the medication book and request updated and current medication forms for each child requiring medication while at the center. The Center Director will create and maintain a system going forward that will assist with tracking medication and medication authorization expiration dates so that updates can be made in a timely manner.

Standard #:

22VAC40-185-550-E

Description:

Based on a review of the emergency drill log and interview, it was determined the center did not maintain a record of the dates of the practice drills for one year.

Evidence: 1. There were no emergency evacuation drills documented for June, July or August 2019.2. The center director confirmed that the emergency evacuation drills for June, July and August 2019 were not documented in the emergency drill log.

Plan of Correction:

The center responded with the following: All required drills will be conducted and documented on the Evacuation Drill Log.

Standard #:

22VAC40-185-550-M

Description:

Based on record review and interview, it was determined the center did not ensure that the written record of all children's serious and minor injuries contained all of the required components.

Evidence:1. Eleven of the thirty injury reports reviewed did not contain the time or method of how the parent was notified of the injury.2. Ten of the thirty injury reports reviewed did not contain documentation of any future action to prevent recurrence of the injury.3. The center director confirmed that the injury reports did not contain all the required information.

Plan of Correction:

The center responded with the following: The Center Director will review all incident reports to ensure that all the required information is present. Center staff will be retrained on how to properly complete an incident report at the next scheduled staff meeting.

Standard #:

63.2(17)-1720.1-B-2

Description:

Based on record review and interview, the center did not ensure that they obtain the results of the national fingerprint based background check prior to the first day of employment.

Evidence:1. Staff 1 (center director) has a date of hire of 7/31/19 and was working on the day of the inspection. The record for staff 1 does not contain the results of the national fingerprint based background check. 2. Staff 1 stated she completed the fingerprint based background check but confirmed the results of the background check could not be located during the inspection.

Plan of Correction:

The center responded with the following: Center Director will ensure that all fingerprinting results are received from Human Resources and placed in the employee's file prior to New Hire Orientation. The Curriculum and Program Director will perform audits of staff files to ensure that all staff members who are currently employed have all of the required trainings and documentation in their files on site at the center.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.